CHILDREN'S MEDICAL GROUP — NPI 1114192499 (Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) in FOX POINT, WI)

CMS-1500 Box 24J / 33a • NPI

1114192499

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

208000000X (CMS 37)

Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)

Box 32 Service Location & ZIP+4

7950 N PORT WASHINGTON RD, FOX POINT, WI, 53217-3131

✓ 9-Digit EDI 837 ZIP+4 (53217-3131)

Practice Phone & Referral Fax

(414) 228-0099

Fax: (414) 540-1065

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1114192499 (CHILDREN'S MEDICAL GROUP) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1114192499` (NPI-2 Organization / Facility)
Provider / Legal Name	CHILDREN'S MEDICAL GROUP
Plain-English Specialty	Board-Certified Pediatrician (Infant, Child & Adolescent Medicine) NUCC Code: `208000000X` (Pediatrics)
Certifying / Licensing Body	American Board of Pediatrics (ABP)
Practice Location Address	7950 N PORT WASHINGTON RD, FOX POINT, WI, 53217-3131
Practice Telephone / Fax	Tel: (414) 228-0099 \| Fax: (414) 540-1065
Administrative Mailing Address	9000 W WISCONSIN AVE, MILWAUKEE, WI, 53226-4874
Enumeration & Last Sync	Enumerated: 2008-04-28 \| CMS Record Updated: 2021-09-24
Authorized Official	SMRITI KHARE (President, Children's Medical Group)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

7950 N PORT WASHINGTON RD, FOX POINT, WI, 53217-3131

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Plain-English Taxonomy & CMS Crosswalk (208000000X)

What Does Taxonomy Code 208000000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 208000000X translates to:
"Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 37 (Physician/Pediatric Medicine)
Certifying / Accrediting Authority: American Board of Pediatrics (ABP)
Clinical Scope: Newborn jaundice screening, routine childhood vaccinations, developmental milestones, pediatric fevers, ear infections, asthma, or acute gastroenteritis.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (CHILDREN'S MEDICAL GROUP)

Typical CPT / Diagnostic Procedures:

Comprehensive Well-Child Developmental & Growth Visits (CPT 99381–99394)
Childhood Immunization Administration (Rotavirus, MMR, DTaP, HPV, PCV)
Neonatal Bilirubin & Jaundice Transcutaneous/Serum Screening
Rapid Streptococcal, RSV & Influenza Point-of-Care Diagnostics
Pediatric Asthma Nebulization & Spirometry Evaluation

Common Therapeutic Classes:

Amoxicillin / Amoxicillin-Clavulanate (Pediatric Otitis Media & Sinusitis)
WHO Low-Osmolarity Oral Rehydration Salts (ORS) & Zinc Sulfate
Albuterol Sulfate Inhalers & Fluticasone Pediatric Inhalers
Weight-Based Acetaminophen & Ibuprofen Antipyretic Suspensions

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`101YP2500X` — Counselor, Professional Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`103TC2200X` — Psychologist, Clinical Child & Adolescent Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical Child & Adolescent	State: N/A \| License: `Verified` \| Primary: Secondary
`104100000X` — Social Worker Plain English: Licensed & Credentialed Social Worker	State: N/A \| License: `Verified` \| Primary: Secondary
`1041C0700X` — Social Worker, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Social Worker, Clinical	State: N/A \| License: `Verified` \| Primary: Secondary
`106H00000X` — Marriage & Family Therapist Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist	State: N/A \| License: `Verified` \| Primary: Secondary
`101YM0800X` — Counselor, Mental Health Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Counselor	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0800X` — Psychiatry & Neurology, Psychiatry Plain English: Board-Certified Psychiatrist (Mental Health & Behavioral Medicine Physician)	State: N/A \| License: `Verified` \| Primary: Secondary
`2084P0804X` — Psychiatry & Neurology, Child & Adolescent Psychiatry Plain English: Board-Certified Neurologist (Brain, Spine, Stroke & Nerve Specialist)	State: N/A \| License: `Verified` \| Primary: Secondary
`208000000X` — Pediatrics Plain English: Board-Certified Pediatrician (Infant, Child & Adolescent Medicine)	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

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CHILDREN'S MEDICAL GROUP (NPI #1114192499)